Wound Care Tool Kit, Mepitel

February 7, 2009 — Matthew Livingston R.N. C.W.S.

Mepitel (Silicon Dressing)- MoInlycke Health Care

Description: Mepitel can be removed from the skin surface with minimum pain and without damaging delicate new tissue.

Indications: Mepitel is used in the management of wounds where adherence of a dressing to the underlying tissue represents a particular clinical problem. Typical applications include skin tears or abrasions, surgical excisions, second-degree burns, blistering conditions such as epidermolysis bullosa, lacerations, partial and full thickness skin grafts, bio-engineered skin and skin damage following radiotherapy or steroid therapy (Mölnlycke Health Care, 2008).

Authors notes:

1. Best option versus Adaptic, Xeroform, or other impregnated dressings including gauze as there is a possibility these dressings fibers will get tangled into newly formed granulation.

2. Very useful in protecting wound edges and reducing pain with NPWT during foam removal (Foam can entangle into granulation tissue).

3. Place over vital structures (bone, organs, etc..) before placing the NPWT foam in the wound bed.

4. Helps to retain moisture and stability on larger open or very fragle skin tears.

5. Helps retain moisture and stability with Apligraf and Dermagraft (after skin substitute is secured with steristrips)

6. A comparable product would be the Wound Veil by Smith and Nephew


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Wound Care Tool Kit, Acticoat and Iodosorb.

February 7, 2009 — Matthew Livingston R.N. C.W.S.

Acticoat 3 & 7 (Antimicrobial Dressing ) - Smith and Nephew

Description: `nanocrystals’ of metallic silver exhibit pronounced antibacterial activity against a wide range of organisms.

Indications: for partial and full-thickness wounds such as leg ulcers, pressures sores and other chronic wounds with Gram-positive and Gram-negative bacteria including strains resistant to many types of antibiotics. It is also effective against clinically important strains of yeasts and fungi (Smith and Nephew, 2008).

Authors notes:

1. Fastest kill rate verses other silver dressings on the widest group of organisms.

2. May be best used with a uniform wound bed so the silver can contact the wound bed.

3. Use alternatively with Iodosorb for bioburden

Iodosorb (Antimicrobial Ointment) - Smith and Nephew

Description: In the presence of aqueous solutions or wound fluid, the beads in the ointment take up liquid and swell, slowly releasing the iodine, which imparts antibacterial properties to the dressing.

Indications: chronically wet wounds such as leg ulcers, pressure ulcers and diabetic ulcers, particularly when infection is present or suspected. (Smith and Nephew, 2008 )

Authors notes:

1. Fast kill rate.

2. Try in place of silver, if silver treatments are not effective.

3. Can be used on regular or irregular base wound beds.

4. Best used on small to medium sized infected wounds. (because of the risk of thyroid toxicity in larger dosages).

5. Good for medium and high draining infected wounds.

6. Use alternatively with Acticoat 3 or 7 with bioburden.

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